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Neurosurgery
Neurosurgery

Neurosurgery

Neurosurgery

The Neurosurgery department provides care for all cranial and spinal neurosurgical pathology. Clinical activities include consultations, diagnostic procedures and treatments for neurosurgical conditions requiring specific monitoring and/or surgical intervention.

The Neurosurgery department provides care for all cranial and spinal neurosurgical pathology. Clinical activities include consultations, diagnostic procedures and treatments for neurosurgical conditions requiring specific monitoring and/or surgical intervention.

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    General neurosurgery, Neuro-oncology, Skull base surgery, Awake surgery, Spine, Pain (trigeminal neuralgia)

    Professor Evelyne Emery
    Consultation schedule

    Pediatric Neurosurgery, General Neurosurgery, Vascular Neurosurgery, Spine

    Dr Alin Borha
    Consultation schedule

    General neurosurgery, Degenerative spine, Oncological spine

    Dr Aymen Ben Tebra
    Consultation schedule

    General Neurosurgery, Pain Surgery, Pediatric Neurosurgery, Neuro Handicap

    Dr Camille DiPalma
    Consultation schedule

    Vascular Neurosurgery, Skull Base Surgery, Clinical Research

    Professor Thomas Gaberel
    Consultation schedule

    Complex spine, Scoliosis, RAAC Spine

    Dr Benjamin Guillard
    Consultation schedule

    Complex spine, Scoliosis

    Dr Paul Frechon
    Consultation schedule

    General neurosurgery, Skull base endoscopy, Degenerative and traumatic spine

    Dr Frederic Rault
    Consultation schedule

    General neurosurgery, Neuro-oncology (awake surgery), Degenerative spine, Pain

    Dr Arthur Leclerc
    Consultation schedule

    General neurosurgery, Traumatic and degenerative spine

    Dr Nissao Kissao
    Consultation schedule

    Medical neuro-oncology

    Dr Mathilde Ducloie
    Consultation schedule

    Pain (medical management)

    Dr Marie Francoise Amiel
    Consultation schedule

    Post-operative control

    Josephine Malczuk, Louis Anzalone
    Consultation schedule

      Composition of service

      • 2 University Professors Hospital Practitioners
      • 4 Hospital Practitioners
      • 1 Head of Clinic of Universities · Assistant of Hospitals
      • 1 Specialist Assistant
      • 1 junior doctor
      • 1 senior health officer
      Team detail
      • University Professor · Hospital Practitioner
        General neurosurgery, neuro-oncology/skull base surgery, awake surgery, spine, pain surgery
      • University Professor · Hospital Practitioner
        General neurosurgery, Vascular neurosurgery (referent), Brain tumours, Skull base neurosurgery, Clinical and preclinical research in neurovascular pathologies
      • Assistant Specialist Attaché
        General Neurosurgery, Brain Tumors, Degenerative Spine
      • Hospital practitioner
        General and pediatric neurosurgery (referent), Hydrocephalus and endoscopic techniques (referent), Brain tumours, Vascular neurosurgery, Degenerative spine
      • Hospital Practitioner
        General, pediatric and functional neurosurgery, Brain tumours, Degenerative spine
      • Head of Clinic for Universities · Assistant for Hospitals
        General Neurosurgery, Spine Surgery
      • Contract Hospital Practitioner
        General neurosurgery and surgery of the spine, scoliosis, complex spine
      • Attached specialist assistant
        General neurosurgery · degenerative and traumatic spine
      • Junior doctor
        Brain tumors (awake surgery), Degenerative spine, Pain
      • Hospital assistant
        Neurosurgery
      • Senior health executive
    • Our support

      Tasks

      The Neurosurgery department at CHU Caen Normandie provides care for all cranial and spinal neurosurgical pathology in the entire former Basse-Normandie region and neighboring geographical areas. The service provides 24/7 emergency activity throughout the year. Clinical activities include consultations, diagnostic procedures and treatments for neurosurgical conditions requiring specific monitoring and/or surgical intervention in both adult and pediatric pathology. The population basin is 1.8 million inhabitants.

      Activities

      Each year, more than 9,000 consultations and nearly 2,300 operations are carried out in the Neurosurgery department. Innovative techniques are regularly developed and evaluated within the framework of clinical research protocols. These techniques concern all themes and more particularly neurosurgical neuro oncology, spinal surgery, vascular neurosurgery and functional neurosurgery (except deep brain stimulation and SEEG).

      Care

      Care activities cover all neurosurgical pathology, both in the adult and pediatric population, more specifically:

      • Craniocerebral trauma (fractures, hematomas, cerebral oedema, etc.) ,
      • Brain tumors (metastases, gliomas, meningiomas, acoustic neuromas, pituitary tumours, etc.),
      • CSF circulation disorders (hydrocephalus, Chiari malformations, syringomyelia, etc.),
      • Vascular pathology (cerebral aneurysm, arteriovenous malformations, cavernomas, etc.),
      • Spinal pathology:
        • Traumatic (vertebral fractures, ligament instability, etc.) ,
        • Tumor (metastasis…) ,
        • Degenerative (herniated disc, narrow lumbar canal, spondylolisthesis, scoliosis, etc.),
        • Innovative activities: disc prostheses, anterior approaches, percutaneous arthrodesis,
      • Pathologies of the spinal cord (tumors, vascular malformations) ,
      • Peripheral nerve pathologies (carpal tunnel, neuromas, etc.) ,
      • Functional neurosurgery:
        • Chronic pain surgery (cerebral or spinal cord stimulation, cordotomies, drezotomy, morphine pumps, vascular-nervous decompression and balloon for trigeminal neuralgia, radiofrequency techniques),
        • Surgery for refractory epilepsy (essentially lesional) ,
        • Spasticity surgery (neurotomies, tenotomies, Baclofen pumps) ,
      • Pediatric neurosurgery (craniostenosis, brain tumours, hydrocephalus, dysraphisms) .
      Hospitalizations

      The Service has 57 full hospitalization beds spread over three units (2 units on the 12th floor of the Côte de Nacre Tower and 1 unit on the 11th floor , with a continuous care sector of 5 beds) . In addition 2 HDJ armchairs.

      Pediatric hospitalization is at the FEH in the pediatric surgery and/or pediatric intensive care units.

      The consultation sector organized on level 12 is divided into 4 consultation rooms and a room for rTMS stimulation and Pain nurse consultations. RAAC nurse is also located within the consultation sector.

      Patients with serious neurosurgical pathologies requiring intensive care are hospitalized in the surgical intensive care unit (3 units on the 6th floor and 1 unit on the 16th floor ) .

      Surgical activities are carried out in 2 operating rooms: a block dedicated to neurosurgery, on the 12th floor (3 operating rooms), and a block dedicated to emergency interventions in the University Hospital Emergency Medicine as well as access in the pediatric unit of the Woman·Child·Hematology Hospital ( FEH ) and some outpatient surgery shifts at the FEH as well.

      The technical platform

      The technical platform of the operating theater is made up of:

      • 4 latest generation operating microscopes,
      • 2 neuronavigation guidance systems,
      • 1 neuro-sono-navigation guidance system,
      • 1 neurosurgical endoscopy column,
      • 3 ultrasonic vacuum cleaners,
      • 1 stereotaxy system,
      • 1 intraoperative electrophysiological monitoring system for awake surgery, and peripheral nerve monitoring for skull base surgery.
      • Recently a navigation for the spine with 3D amplifier will be acquired as well as a third neuronavigation

      Pathologies

      Trigeminal neuralgia

      What is trigeminal neuralgia? How to treat it? What techniques are used? You will find the answers in this patient sheet.

      Professor Évelyne Emery (neurovascular decompression and percutaneous techniques) and Dr Arthur Leclerc (percutaneous techniques) are able to see you in consultation to take care of you.

      Radiosurgery is not performed in our center.

      Arnold's neuralgia

      What is Arnold's neuralgia (or occipital nerve)? How to treat it? You will find the answers in this patient information sheet.

      Professor Evelyne Emery , Dr Camille Di Palma and Dr Arthur Leclerc are able to receive you in consultation to take care of you.

      Facial hemispasm

      What is facial hemispasm? What treatments are available? What are the post-operative consequences?

      Professor Evelyne Emery is able to receive you for a consultation to take care of you.

      Pituitary adenoma

      What is a pituitary adenoma? Is it necessary to operate? What treatments are available? You will find the answers in this patient information sheet.

      Professor Evelyne Emery , Professor Thomas Gaberel and Dr Frédérick Rault are able to receive you for consultation to take care of you.

      Useful document(s)

      RAAC passport

      RAAC Passport

      Improved Rehabilitation After Surgery
      • Collaborations & labels

        Collaborations

        There is constant collaboration with several other specialists from the CHU and other partner hospitals, allowing multidisciplinary care. Thus, in parallel with department staff meetings, Multidisciplinary Consultation Meetings ( RCP ) take place on a weekly basis, with the participation of neuro-oncologist colleagues, radiotherapists, neuro-pathologists, neuroradiologists, rheumatologists, etc.

        Spinal Osteoarticular Infection Center

        Spinal Osteoarticular Infection Center

        Labels & institute

      • Research & teaching

        Memberships & partnerships

        The Neurosurgery department is affiliated with the University of Caen Basse-Normandie and provides teaching activities to medical students and offers a 3 rd cycle training program in Neurosurgery developed from European standards.

        On the other hand, the department undertakes to explore and develop new treatments by participating in several clinical or fundamental research projects. In particular, with the partnership of one of the largest neuroscience research centers in France, Cyceron , many research projects aimed at improving the treatment of our patients are very regularly conducted. Our service is one of the world leaders in research on ruptured intracranial aneurysms. We are also recognized for our research work in neuro-oncology. The dynamism of the research neurosurgery department ensures that you always benefit from the best treatment, possibly innovative, and always validated according to the most rigorous scientific standards.

        Publications and research protocols

        The department's research activity can be measured by the number of scientific publications in specialized international journals, which has exceeded 100 over the past 10 years.

        Another indicator of the recognition of the Neurosurgery department on a national scale is its ability to obtain significant public subsidies to conduct large-scale studies on the national territory. Over the past 5 years, the service has obtained 3 major grants, for an amount of around 2 million euros, which allows us to offer ever more innovation at the service of our patients.

        Teachers, service researchers

        This important research activity also translates into important responsibilities at the national level for the service's teacher-researchers:

        • Professor Evelyne Emery , head of the neurosurgery department, is also the president of the National University Committee for Neurosurgery, the highest authority for neurosurgery teacher-researchers in France.
        • Professor Thomas Gaberel is editor-in-chief of the journal Neurochirurgie , an international scientific journal emanating from the French Society of Neurosurgery and the French-language Neurosurgery Society.

        Recent publications of the Neurosurgery Department CHU Caen Normandie (since 2020)

      • The latest news related to the service…

      Locate / contact service

      Neurosurgery

      Côte de Nacre Hospital

      Avenue de la Côte de Nacre
      CS 30001
      14033 Caen cedex 9


      Neurosurgery

      Service Secretariat


      Level GPS accessCar park Hall
      Service
      Côte de Nacre Tower
      Level : 12
      GPS Access: Main
      Car Park: Car Park 1
      Main Entrance of Caen Normandy University Hospital
      Consultation tray · Door D
      Côte de Nacre Tower
      Level : 1
      GPS access: Côte de Nacre
      Car Park: Car Park 2
      North Entrance Côte de Nacre